October 9, 2025

The impact of a multi-component hospital avoidance programme in residential aged care homes: a stepped-wedge cluster randomised trial.

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The intervention yielded a 27% increase in hospital bed days per 100 resident days, showing potential concern.
Secondary outcomes revealed an 8% reduction in ED transfers but a 10% increase in hospital admissions, indicating shifting trends.
Conducted as a prospective stepped-wedge cluster randomised trial, evaluating multiple RAC homes in Queensland, Australia.
Implementation faced challenges due to COVID-19, highlighting the need for adaptive strategies in aged care settings.

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Stepped-wedge cluster trial assessed intervention effects on hospital bed days in aged care, suggesting barriers exist.

White et al. (2025) studied this question.

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